Payments

Whether your focus is on in-network or out-of-network medical, dental, or workers compensation claims payments, Zelis Payments delivers a real-time, integrated electronic payments solution that reduces the cost of making payments while increasing provider satisfaction.

With access to more than 1.5+ million providers and a proprietary payments network of more than 275,000+ contracted providers, Zelis Payments helps save payers an average 60% of the cost of making healthcare payments by converting from paper-based payments to electronic payments.

Integration that delivers greater efficiency

Our proprietary real-time integration with leading claims adjudication platforms ensures streamlined implementation with virtually no disruption to existing workflows while providing superior operational efficiency.

  • Reduced print and postage costs
  • End-to-end reconciliation which eliminates “out-of-system” balancing
  • Turnkey CAQH CORE compliance
  • Robust automated reporting which improves tracking and insight
  • Balanced, detailed 835s that elevate value to providers

Services that maximize savings

The Zelis Payer Client Services Team is a seamless extension of your team. Zelis minimizes the time, cost and distraction associated with implementation.

  • Provider enrollment & award-winning service
  • Implementation & dedicated account management
  • EDI & clearinghouse support
  • Monitoring of payments to prevent stale cards
  • Fraud and abuse detection and quality assurance programs
  • Fast response times-provider service issues handled within ~30 seconds
  • In-house regulatory guidance and support

Drives superior provider satisfaction

Provider satisfaction is critical to building and maintaining a robust electronic payment network. Zelis delivers an industry-leading, provider-centric payments operating model that encourages electronic adoption, retention and 835 acceptance.

  • Unique enrollment model based on provider consent and choice
  • Enhanced offerings for complex provider organizations
  • Solutions that streamline reconciliation and re-association
  • Quality assurance and abuse prevention
  • Secure online portal for self-service